Individual
DR. IWONA KONCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
415 W GOLF RD, SUITE 4, ARLINGTON HEIGHTS, IL 60005-3929
(847) 226-1810
Mailing address
450 W BRIAR PL, APT 11D, CHICAGO, IL 60657-4737
(847) 226-1810
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071-007687
IL
103TC0700X
Clinical Psychologist
20042297A
IN
103TC0700X
Clinical Psychologist
Primary
25632
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL7807
MEDICARE ID
IL
Enumeration date
11/13/2007
Last updated
10/07/2022
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